Individual provider Active NPI

Dylis Spio, APRN

  • Family Nurse Practitioner
  • Plymouth, IN
National Provider Identifier
1154189686
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71017389A Issued in IN
Practice address
2855 Miller Dr Ste 205
Plymouth, IN 46563-8093
Phone
(443) 275-9800
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71017389A IN Primary

Addresses

Primary practice location

2855 Miller Dr Ste 205
Plymouth, IN 46563-8093

Mailing address

2855 Miller Dr Ste 205
Plymouth, IN 46563-8093
Phone (443) 275-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251210000178 IN Practitioner - Nurse Practitioner 9830680982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2855 Miller Dr
Suite 205
Plymouth, IN 46563-8094

3121 Blue Sky Loop
Jeffersonville, IN 47130-8970

785 Elkridge Landing Rd
Suite 300
Linthicum, MD 21090-2958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71017389AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Nov 18, 2025 Accepting new patients

Locations

950 N Lakeview Dr
Greensburg, IN 47240
Phone (812) 662-7778

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1154189686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 MILLER DR STE 205",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465638093",
            "telephone_number": "443-275-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 MILLER DR STE 205",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465638093",
            "telephone_number": "443-275-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIO",
        "first_name": "DYLIS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71017389A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, IN

Sources for this page

Verify at the official NPI Registry.